Demo

Bilingual Case Management Analyst

Dunhill Professional Search
Miami, FL Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/5/2025

Bilingual Case Management Analyst

Fully Telework

  • US Citizenship

We are looking for an individual to join our team remotely, working full-time on the CMS 1095-A Program. This is a great fit for someone with a strong combination of bilingual communication skills, analytical ability, and experience working with federal programs or processes.

Job Description : The Bilingual Case Management Analyst III is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and management. Also responsible for conducting research, workflow investigations, business procedures and making recommendations for improvement. The analyst will interact with consumers, Agent Brokers and providers via phone and email.

What will I get to do?

  • Providing excellent customer service to consumers by adhering to CMS policy and identifying and analyzing customer (issuers and consumers) inquiries and processing disputes in both English and Spanish languages, through phone calls, and emails.
  • Applying triage, research, collaboration, and technical knowledge to resolve transaction and processing issues through analysis and using decision matrices.
  • Analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders using defined data sources and following Standard Operating Procedures
  • Responsible for continuous process improvement of the reconciliation process, and recommending changes or enhancements to processes, as well as the integration with technology.
  • The analyst will provide content and feedback to and for partnering with training staff on training stakeholders on triaging transactions and the reconciliation process.
  • Experience as a business analyst performing collaborative work with customers and other stakeholders, gathering and documenting business requirements to achieve the project goals, will complement the role as a case analyst.
  • Employee is expected to undertake any additional duties as assigned by manager.
  • Minimum Qualifications

  • Bachelor's Degree or equivalent OR 4 years of relevant experience in lieu of degree.
  • Fluent in English and Spanish language; both written and verbal.
  • Experience analyzing discrepancies using human judgement or decision making.
  • Experience with federal data or projects (including, but not limited to agencies such as CMS, IRS, DOD, VA, SSA or another federal agency).
  • Must be a US Citizen or Authorized to work in the US (if not a citizen) and a resident of the US for at least 3 years within the last 5 years.
  • Candidates that do not meet the required qualifications will not be considered.
  • Other Job Specific Skills

  • Experience with Affordable Care Act
  • Strong written and oral communication skills
  • Advanced customer service telephone skills and the willingness to make outbound and receive inbound telephone calls
  • Proficiency in Microsoft Word, Excel, Power Point, SharePoint
  • Experience with Federal contracts desired
  • Experience with 834 enrollment transaction process desired
  • Assisting individuals with enrollment into health insurance coverage, working with in-person assisters, or researching Marketplace eligibility and enrollment processes and policies
  • cj post

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Bilingual Case Management Analyst?

    Sign up to receive alerts about other jobs on the Bilingual Case Management Analyst career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $88,558 - $106,947
    Income Estimation: 
    $104,867 - $137,036
    Income Estimation: 
    $63,888 - $78,999
    Income Estimation: 
    $79,521 - $98,503
    Income Estimation: 
    $107,442 - $160,602
    Income Estimation: 
    $83,941 - $108,028
    Income Estimation: 
    $92,657 - $120,748
    Income Estimation: 
    $79,521 - $98,503
    Income Estimation: 
    $101,242 - $124,726
    Income Estimation: 
    $107,442 - $160,602
    Income Estimation: 
    $110,400 - $142,096
    Income Estimation: 
    $118,913 - $150,937
    Income Estimation: 
    $101,242 - $124,726
    Income Estimation: 
    $125,329 - $152,916
    Income Estimation: 
    $129,291 - $167,349
    Income Estimation: 
    $133,136 - $171,866
    Income Estimation: 
    $138,790 - $181,781
    Income Estimation: 
    $125,329 - $152,916
    Income Estimation: 
    $151,063 - $185,777
    Income Estimation: 
    $158,643 - $203,736
    Income Estimation: 
    $154,628 - $190,455
    Income Estimation: 
    $158,186 - $201,374
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Dunhill Professional Search

    Dunhill Professional Search
    Hired Organization Address Fairfax, VA Full Time
    IT Administrator Full Time-Intermittent Telework US Citizen We are seeking an individual to join our team who is open to...
    Dunhill Professional Search
    Hired Organization Address San Antonio, TX Full Time
    Description The Bilingual Case Management Analyst III is responsible for efficient and timely hands-on troubleshooting, ...
    Dunhill Professional Search
    Hired Organization Address Austin, TX Full Time
    Job Description : Analysis - The developer must understand the client defined requirements and perform any required anal...
    Dunhill Professional Search
    Hired Organization Address Fairfax, VA Full Time
    Role Description Working in partnership with internal teams, The Issuer Disputes EDI Analyst will also be responsible fo...

    Not the job you're looking for? Here are some other Bilingual Case Management Analyst jobs in the Miami, FL area that may be a better fit.

    Billing Clerk

    Case Management Company, Miami, FL

    AI Assistant is available now!

    Feel free to start your new journey!